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上前牙反牙合患者全瓷固定桥美学修复一例 被引量:1

Aesthetic Restoration of All-Ceramic Fixed Bridge in a Patient with Anterior Crossbite
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摘要 本文患者为年轻女性,骨性Ⅲ类反牙合,外伤导致上前牙缺失,因严重影响美观和发音而求治。患者拒绝正颌、正畸矫治及种植修复,坚持要求行微创、固定桥美学修复。笔者通过仔细分析患者的牙合关系,反复修改诊断蜡型并制作临时冠进一步观察患者对新的牙合关系的适应情况,最终为患者设计出有利于修复体稳定并尽量保存牙体组织的固定桥修复体,恢复了患者面部美观,改善了患者外伤后的咀嚼和发音功能,重建其心理健康。 The patient, a young woman with Class III skeletal crossbite came to the clinic for anterior teeth aesthetic restoration and articulation modification for loss of the upper anterior teeth in a trauma. The patient refused any orthodontics orthognathic surgeries and implant treatments, which made it difficult to minimally invasive, aesthetic repair with fixed bridge. By carefully analyzing the occlusal relationship of the patient, repeatedly modifing the diagnostic wax-up and making several mock-ups to further observe the patient's adaptation to the new occlusal relationship, the authors finally designed a fixed bridge restorations to reconstruct facial aesthetics and the mastication, improve pronunciation after trauma and preserve the dental tissue as much as possible.
作者 樊丹妮 刘瑞瑞 侯彦闻 雷文龙 司新芹 李经纬 FAN Dan-ni1,2, LIU Rui-rui1,2,HOU Yan-wen1,2, LEI Wen-long2, SI Xin-qin3, LI Jing-wei4(1.Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research;2.Department of Prosthetics;3.Department of Orthodontics;4.Department of Oral&Maxillofacial Surgery, Stomatology Hospital of Xi'an Jiaotong University College of Medicine, Xi'an 710004, Shaanxi, Chin)
出处 《中国美容医学》 CAS 2018年第7期61-64,共4页 Chinese Journal of Aesthetic Medicine
关键词 前牙美学修复 全瓷 固定桥 咬合 反牙合 anterior teeth aesthetic restoration all-ceramic crown fixed bridge bite crossbite
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